Chapter 21: Visual and Auditory Problems

MULTIPLE CHOICE

1. Question: The nurse evaluates that wearing bifocals improved the patients myopia and presbyopia by assessing for
2. Question: A nurse should instruct a patient with recurrent staphylococcal and seborrheic blepharitis to
3. Question: When assisting a blind patient in ambulating to the bathroom, the nurse should
4. Question: A nurse should include which instructions when teaching a patient with repeated hordeolum how to prevent further infection?
5. Question: The nurse developing a teaching plan for a patient with herpes simplex keratitis should include which instruction?
6. Question: Which teaching point should the nurse plan to include when caring for a patient whose vision is corrected to 20/200?
7. Question: The nurse is developing a plan of care for an adult patient diagnosed with adult inclusion conjunctivitis (AIC) caused by Chlamydia trachomatis. Which action should be included in the plan of care?
8. Question: Which topic will the nurse teach after a patient has had outpatient cataract surgery and lens implantation?
9. Question: In reviewing a 55-year-old patients medical record, the nurse notes that the last eye examination revealed an intraocular pressure of 28 mm Hg. The nurse will plan to assess
10. Question: A patient with a right retinal detachment had a pneumatic retinopexy procedure. Which information will be included in the discharge teaching plan?
11. Question: A 72-year-old patient with age-related macular degeneration (AMD) has just had photodynamic therapy. Which statement by the patient indicates that the discharge teaching has been effective?
12. Question: To determine whether treatment is effective for a patient with primary open-angle glaucoma (POAG), the nurse can evaluate the patient for improvement by
13. Question: A patient with glaucoma who has been using timolol (Timoptic) drops for several days tells the nurse that the eye drops cause eye burning and visual blurriness for a short time after administration. The best response to the patients statement is
14. Question: The nurse is completing the admission database for a patient admitted with abdominal pain and notes a history of hypertension and glaucoma. Which prescribed medications should the nurse question?
15. Question: A patient who has bacterial endophthalmitis in the left eye is restless, frequently asking whether the eye is healing, and whether removal of the eye will be necessary. Based on the assessment data, which nursing diagnosis ismost appropriate at this time?
16. Question: To decrease the risk for future hearing loss, which action should the nurse who is working with college students at the on-campus health clinic implement?
17. Question: A patient diagnosed with external otitis is being discharged from the emergency department with an ear wick in place. Which statement by the patient indicates a need for further teaching?
18. Question: A patient who has undergone a left tympanoplasty should be instructed to
19. Question: The nurse is assessing a patient who has recently been treated with amoxicillin for acute otitis media of the right ear. Which finding is a priority to report to the health care provider?
20. Question: A 42-year-old woman with Mnires disease is admitted with vertigo, nausea, and vomiting. Which nursing intervention will be included in the care plan?
21. Question: Which statement by the patient to the home health nurse indicates a need for more teaching about self- administering eardrops?
22. Question: An 82-year-old patient who is being admitted to the hospital repeatedly asks the nurse to speak up so that I can hear you. Which action should the nurse take?
23. Question: A 75-year-old patient with presbycusis is fitted with binaural hearing aids. Which information will the nurse include when teaching the patient how to use the hearing aids?
24. Question: Which information will the nurse include for a patient contemplating a cochlear implant?
25. Question: Which statement by a patient with bacterial conjunctivitis indicates a need for further teaching?
26. Question: Which information will the nurse include when teaching a patient with keratitis caused by herpes simplex type 1?
27. Question: The nurse at the outpatient surgery unit obtains the following information about a patient who is scheduled for cataract extraction and implantation of an intraocular lens. Which information is most important to report
28. Question: During the preoperative assessment of the patient scheduled for a right cataract extraction and intraocular lens implantation, it is most important for the nurse to assess
29. Question: The nurse learns that a newly admitted patient has functional blindness and that the spouse has cared for the patient for many years. During the initial assessment of the patient, it is most important for the nurse to
30. Question: Which action could the registered nurse (RN) who is working in the eye and ear clinic delegate to a licensed practical/vocational nurse (LPN/LVN)?
31. Question: The occupational health nurse is caring for an employee who is complaining of bilateral eye pain after a cleaning solution splashed into the employees eyes. Which action will the nurse take first?
32. Question: Unlicensed assistive personnel (UAP) perform all the following actions when caring for a patient with Mnires disease who is experiencing an acute attack. Which action by UAP indicates that the nurse should interveneimmediately?
33. Question: The nurse at the eye clinic made a follow-up telephone call to a patient who underwent cataract extraction and intraocular lens implantation the previous day. Which information is the priority to communicate to the health care provider?
34. Question: The charge nurse observes a newly hired nurse performing all the following interventions for a patient who has just undergone right cataract removal and an intraocular lens implant. Which one requires that the charge nurse intervene?
35. Question: Which nursing activity is appropriate for the registered nurse (RN) working in the eye clinic to delegate to experienced unlicensed assistive personnel (UAP)?
36. Question: Which nursing activity is appropriate for the registered nurse (RN) working in the eye clinic to delegate to experienced unlicensed assistive personnel (UAP)?
37. Question: A patient with a head injury after a motorcycle crash arrives in the emergency department (ED) complaining of shortness of breath and severe eye pain. Which action will the nurse take first?
38. Question: Which prescribed medication should the nurse give first to a patient who has just been admitted to a hospital with acute angle-closure glaucoma?
39. Question: The priority nursing diagnosis for a patient experiencing an acute attack with Menieres disease is
40. Question: Which information about a patient who had a stapedotomy yesterday is most important for the nurse to communicate to the health care provider?
41. Question: A 75-year-old patient who lives alone at home tells the nurse, I am afraid of losing my independence because my eyes dont work as well they used to. Which action should the nurse take first?
42. Question: A patient who received a corneal transplant 2 weeks ago calls the ophthalmology clinic to report that his vision has not improved with the transplant. Which action should the nurse take?
43. Question: Which action will the nurse take when performing ear irrigation for a patient with cerumen impaction?
44. Question: Which action will the nurse include in the plan of care for a patient with benign paroxysmal positional vertigo (BPPV)?
45. Question: When teaching a patient about the treatment of acoustic neuroma, the nurse will include information about
46. Question: Which patient arriving at the urgent care center will the nurse assess first?
47. Question: The nurse is working in an urgent care clinic that has standardized treatment protocols for implementation by nursing staff. After reviewing the history, physical assessment, and vital signs for a 60-year-old patient as shown in the accompanying figure, which action should the nurse take first?